Individual
NELYA STESAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
9555 GROSS POINT ROAD, SKOKIE, IL 60076
(847) 679-3411
(847) 675-7450
Mailing address
9555 GROSS POINT ROAD, SKOKIE, IL 60076
(847) 679-3411
(847) 675-7450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005900
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209005900
STATE LICENSE
IL
01
—
363L00000X
TAX CODE
IL
Enumeration date
05/18/2007
Last updated
07/26/2011
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